Pancreas Flashcards

1
Q

Is the pancreas covered in peritoneum

A

It’s retroperitoneal except for the tail

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2
Q

What abdominal regions does the pancreas occupy

A

Epigastrium

Let hypochondrium

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3
Q

What are the parts of the pancreas

A
Ucinate process 
Head
Neck 
Body 
Tail
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4
Q

What is the head of pancreas

A

Widest part of the pancreas embraced by the C-shaped curve of the duodenum

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5
Q

Location of head of pancreas

A

Right of superior mesenteric vessels

Inferior to transtubercular plane

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6
Q

Where do the superior mesenteric vessels cross the pancreas

A

Posterior surface of the neck

Anterior to the ucinate process

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7
Q

Where does the splenic vein join the SMV to form the hepatic portal vein

A

Posterior to the neck of the pancreas

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8
Q

Where does the stomach lie in relation to the pancreas

A

The anterior surface of the neck of pancreas is adjacent to the pylorus
Anterior to the body of pancreas

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9
Q

Which vertebra does the body of pancreas cross

A

L2

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10
Q

What is the body of pancreas in contact with

A
Aorta 
SMA
Left adrenal gland
Left kidney
Renal vessels
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11
Q

What does the pancreatic tail pass between

A

Layers of the splenorenal ligament

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12
Q

What is the pancreatic tail in close contact to

A

Anterior to left kidney
Splenic hilum
Left colic flexure

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13
Q

Course of the pancreatic duct

A

Begins at the tail and runs to the head where it turns inferiorly and joins the common bile duct

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14
Q

What connects acini

A

Intercalated ducts

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15
Q

What do the intercalated ducts drain into

A

Intralobular collecting ducts which then drain into the main pancreatic duct

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16
Q

Arterial supply of the pancreas except the head

A

Coeliac trunk -> splenic -> pancreatic arteries

E.g. Greater pancreatic artery and dorsal pancreatic artery

17
Q

Arterial supply of the head of pancreas

A

Coeliac trunk -> common hepatic -> gastroduodenal -> anterior and posterior superior pancreaticoduodenal arteries

Superior mesenteric -> inferior pancreaticoduodenal -> anterior and posterior inferior pancreaticoduodenal arteries

18
Q

Venous drainage of the pancreas except the head

A

Pancreatic veins empty into the splenic vein or SMV

19
Q

Venous drainage of the head of pancreas

A

Superior and inferior pancreaticoduodenal veins empty into the SMV

20
Q

What do pancreatic lymphatic vessels empty into

A

Pancreaticosplenal nodes

Pyloric nodes

21
Q

What do the pancreaticosplenal and pyloric nodes drain into

A

Superior mesenteric node

Coeliac lymph node